[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-111-2-內外科護理學-013","nurse-111-2-medical-surgical-013",111,2,13,"有關胃食道逆流的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"心灼熱感是胃食道逆流最常見的症狀","可能是因為下食道括約肌壓力太高導致逆流","可使用 β-block 藥物治療","進食後應躺下，以緩解胃食道逆流不適症狀","A",null,[],"本題考點在胃食道逆流(GERD)的症狀與處置，要選正確者。A正確：胃酸逆流刺激食道，心口灼熱感(heartburn)是GERD最常見的典型症狀。B錯誤，GERD是下食道括約肌(LES)壓力過低或鬆弛不當使胃內容物逆流，非壓力過高；C錯誤，治療以氫離子幫浦阻斷劑(PPI)或H2受體拮抗劑抑制胃酸為主，β受體阻斷劑是心血管用藥，不用於GERD；D錯誤，進食後應保持直立、避免立即平躺，躺下反而加重逆流。故選A。","GERD機轉核心為LES張力不足與短暫鬆弛，加上腹壓上升(肥胖、飽食、懷孕)促使逆流。生活型態調整：少量多餐、睡前3小時勿進食、抬高床頭、避免咖啡因\u002F高油\u002F薄荷\u002F酒精。長期未控制可致巴瑞特食道(Barrett's esophagus)增加食道腺癌風險。可連結PPI於餐前30分鐘服用效果最佳延伸複習。",[24,27,30,33],{"term":25,"count":26},"下食道括約肌",4,{"term":28,"count":29},"胃食道逆流 GERD",3,{"term":31,"count":32},"心口灼熱感",1,{"term":34,"count":32},"PPI",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-medical-surgical-014","有關消化性潰瘍的敘述，下列何者正確？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-medical-surgical-030","下列何者為骨性關節炎的症狀和徵象？",30,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-medical-surgical-044","有關牛皮癬之敘述，下列何者正確？",44,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-medical-surgical-012","承上題，有關此類病人的護理措施，下列何者最適宜？",12,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-medical-surgical-016","有關心包膜炎照護之敘述，下列何者不適宜？",16,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-medical-surgical-030","有關病人接受初期心臟復健運動之原則，以其活動時心跳增加速率不超過休息時多少百分比？",106,"2026-09-04",1788510738352]